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Aspirinsmechanismofaction

Aspirinisamedicationthathastwomainactionsinthebody.
1. Anantiprostaglandin(antiinflammation,feverreducing,pain
reliever)and
2. Anantiplatelet(bloodthinner)agent.
Bothoftheseactionsaretheresultoftheeffectofaspirinonanenzymein
thebodycalledcyclooxygenase,orCOX
COXandInflammation
Whenthebodyisinjured,inflammationoccursaspartofthenaturalhealing
process.Inflammationisfacilitatedbyanumberofenzymes,mediatorsand
differentcells,suchaswhitebloodcells.Oneenzymeinvolvedin
inflammationiscyclooxygenase(COX).COXisresponsibleforthe
formationofagroupofinflammatorymediatorsknownasprostaglandins.
AspirininhibitsCOX,inturnstoppingtheformationof
prostaglandins;henceaspirinactsasanantiinflammatoryagentin
thisprocess.
UsesofAspirin
COXandbloodthinning
COXalsoplaysaroleincessationofbleeding.Bloodclottingistheresultof
acomplexmechanismwhichinvolvesmanydifferentcells,includingatype
knownasplatelets.Whenbloodvesselsaredamagedorarediseased,
plateletsclumptogetherovertheholeorvesselteartofacilitaterepair.COX
activatesachemicalknownasthromboxaneA2thatcausesplateletstostick
togethertoformaplugoverthedamagedarea.Theaggregationofplatelets
(plug),inconcertwiththeclottingprocess,resultsinafibrinclotwhich
stopsbleedingandaidsrepairofthebloodvessel.
AspirininhibitsCOX,therebyreducingtheabilityofplateletstoaggregate.
Thisiswhyaspirinisknownasabloodthinnerorantiplateletagent.Itis
alsowhyincreasedbleedingisasideeffectofaspirin.Althoughmajor
bleedingisrare,aspirincancausethis.Bloodthinninghowever,isuseful

topreventheartattacksandstrokes.Itisimportanttotalktoyourdoctor
beforestartingaspirineventhoughyoucanbuyitwithoutaprescription.
Sideeffectsofaspirin
Prostaglandinsareproducedbycellsintheliningofthestomachandforma
protectivebarrieragainsttheharshstomachacid.
Aspirininhibitstheformationofprostaglandins,inturndepletingthe
protectivebarrierinthestomach,leadingtostomach(orpeptic)
ulcers.

"HowAspirinWorks."Aspree.Web.<http://www.aspree.org/AUS/aspree
content/aspirin/howaspirinworks.aspx>.

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